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General NPI Number Information
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NPI Number | 1275586505
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Entity Type | Individual
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Provider Name | WILLIAM FREDERICK STOUFFER CMSW
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 2435 W ANDREW JOHNSON HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-3209
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Country | US
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Telephone | 910-388-6740
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Fax |
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Provider Business Mailing Address
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Address Line | 974 CEDAR TRACE LN
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City | MORRISTOWN
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State | TN
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Zip | 37814-1414
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Country | US
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Telephone | 910-388-6740
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0000006559
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License Number State | TN
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